Pharmaceutical Prevention and Management of Cardiotoxicity in Hematological Malignancies

Modern treatment modalities in hematology have improved clinical outcomes of patients with hematological malignancies. Nevertheless, many new or conventional anticancer drugs affect the cardiovascular system, resulting in various cardiac disorders, including left ventricular dysfunction, heart failu...

Full description

Bibliographic Details
Main Authors: Anastasia Stella Perpinia, Nikolaos Kadoglou, Maria Vardaka, Georgios Gkortzolidis, Apostolos Karavidas, Theodoros Marinakis, Chrysostomi Papachrysostomou, Panagiotis Makaronis, Charikleia Vlachou, Marina Mantzourani, Dimitrios Farmakis, Konstantinos Konstantopoulos
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Pharmaceuticals
Subjects:
Online Access:https://www.mdpi.com/1424-8247/15/8/1007
_version_ 1797431808921436160
author Anastasia Stella Perpinia
Nikolaos Kadoglou
Maria Vardaka
Georgios Gkortzolidis
Apostolos Karavidas
Theodoros Marinakis
Chrysostomi Papachrysostomou
Panagiotis Makaronis
Charikleia Vlachou
Marina Mantzourani
Dimitrios Farmakis
Konstantinos Konstantopoulos
author_facet Anastasia Stella Perpinia
Nikolaos Kadoglou
Maria Vardaka
Georgios Gkortzolidis
Apostolos Karavidas
Theodoros Marinakis
Chrysostomi Papachrysostomou
Panagiotis Makaronis
Charikleia Vlachou
Marina Mantzourani
Dimitrios Farmakis
Konstantinos Konstantopoulos
author_sort Anastasia Stella Perpinia
collection DOAJ
description Modern treatment modalities in hematology have improved clinical outcomes of patients with hematological malignancies. Nevertheless, many new or conventional anticancer drugs affect the cardiovascular system, resulting in various cardiac disorders, including left ventricular dysfunction, heart failure, arterial hypertension, myocardial ischemia, cardiac rhythm disturbances, and QTc prolongation on electrocardiograms. As these complications may jeopardize the significantly improved outcome of modern anticancer therapies, it is crucial to become familiar with all aspects of cardiotoxicity and provide appropriate care promptly to these patients. In addition, established and new drugs contribute to primary and secondary cardiovascular diseases prevention. This review focuses on the clinical manifestations, preventive strategies, and pharmaceutical management of cardiotoxicity in patients with hematologic malignancies undergoing anticancer drug therapy or hematopoietic stem cell transplantation.
first_indexed 2024-03-09T09:50:40Z
format Article
id doaj.art-2739d523aa9648ef95913a3410278e51
institution Directory Open Access Journal
issn 1424-8247
language English
last_indexed 2024-03-09T09:50:40Z
publishDate 2022-08-01
publisher MDPI AG
record_format Article
series Pharmaceuticals
spelling doaj.art-2739d523aa9648ef95913a3410278e512023-12-02T00:09:06ZengMDPI AGPharmaceuticals1424-82472022-08-01158100710.3390/ph15081007Pharmaceutical Prevention and Management of Cardiotoxicity in Hematological MalignanciesAnastasia Stella Perpinia0Nikolaos Kadoglou1Maria Vardaka2Georgios Gkortzolidis3Apostolos Karavidas4Theodoros Marinakis5Chrysostomi Papachrysostomou6Panagiotis Makaronis7Charikleia Vlachou8Marina Mantzourani9Dimitrios Farmakis10Konstantinos Konstantopoulos11Department of Cardiology, “G. Gennimatas” General Hospital, 11527 Athens, GreeceMedical School, University of Cyprus, Nicosia 2029, CyprusDepartment of Hematology, “G. Gennimatas” General Hospital, 11527 Athens, GreeceDepartment of Hematology, “G. Gennimatas” General Hospital, 11527 Athens, GreeceDepartment of Cardiology, “G. Gennimatas” General Hospital, 11527 Athens, GreeceDepartment of Hematology, “G. Gennimatas” General Hospital, 11527 Athens, GreeceDepartment of Cardiology, “G. Gennimatas” General Hospital, 11527 Athens, GreeceDepartment of Cardiology, “G. Gennimatas” General Hospital, 11527 Athens, GreeceDepartment of Hematology, “G. Gennimatas” General Hospital, 11527 Athens, GreeceFirst Department of Internal Medicine, Medical School, National and Kapodistrian University of Athens, “Laiko” General Hospital, 11527 Athens, GreeceMedical School, University of Cyprus, Nicosia 2029, CyprusDepartment of Hematology, Medical School, National and Kapodistrian University of Athens, “Laiko” General Hospital, 11527 Athens, GreeceModern treatment modalities in hematology have improved clinical outcomes of patients with hematological malignancies. Nevertheless, many new or conventional anticancer drugs affect the cardiovascular system, resulting in various cardiac disorders, including left ventricular dysfunction, heart failure, arterial hypertension, myocardial ischemia, cardiac rhythm disturbances, and QTc prolongation on electrocardiograms. As these complications may jeopardize the significantly improved outcome of modern anticancer therapies, it is crucial to become familiar with all aspects of cardiotoxicity and provide appropriate care promptly to these patients. In addition, established and new drugs contribute to primary and secondary cardiovascular diseases prevention. This review focuses on the clinical manifestations, preventive strategies, and pharmaceutical management of cardiotoxicity in patients with hematologic malignancies undergoing anticancer drug therapy or hematopoietic stem cell transplantation.https://www.mdpi.com/1424-8247/15/8/1007leukemialymphomacardiotoxicityheart failureanthracyclinesanticancer targeted therapies
spellingShingle Anastasia Stella Perpinia
Nikolaos Kadoglou
Maria Vardaka
Georgios Gkortzolidis
Apostolos Karavidas
Theodoros Marinakis
Chrysostomi Papachrysostomou
Panagiotis Makaronis
Charikleia Vlachou
Marina Mantzourani
Dimitrios Farmakis
Konstantinos Konstantopoulos
Pharmaceutical Prevention and Management of Cardiotoxicity in Hematological Malignancies
Pharmaceuticals
leukemia
lymphoma
cardiotoxicity
heart failure
anthracyclines
anticancer targeted therapies
title Pharmaceutical Prevention and Management of Cardiotoxicity in Hematological Malignancies
title_full Pharmaceutical Prevention and Management of Cardiotoxicity in Hematological Malignancies
title_fullStr Pharmaceutical Prevention and Management of Cardiotoxicity in Hematological Malignancies
title_full_unstemmed Pharmaceutical Prevention and Management of Cardiotoxicity in Hematological Malignancies
title_short Pharmaceutical Prevention and Management of Cardiotoxicity in Hematological Malignancies
title_sort pharmaceutical prevention and management of cardiotoxicity in hematological malignancies
topic leukemia
lymphoma
cardiotoxicity
heart failure
anthracyclines
anticancer targeted therapies
url https://www.mdpi.com/1424-8247/15/8/1007
work_keys_str_mv AT anastasiastellaperpinia pharmaceuticalpreventionandmanagementofcardiotoxicityinhematologicalmalignancies
AT nikolaoskadoglou pharmaceuticalpreventionandmanagementofcardiotoxicityinhematologicalmalignancies
AT mariavardaka pharmaceuticalpreventionandmanagementofcardiotoxicityinhematologicalmalignancies
AT georgiosgkortzolidis pharmaceuticalpreventionandmanagementofcardiotoxicityinhematologicalmalignancies
AT apostoloskaravidas pharmaceuticalpreventionandmanagementofcardiotoxicityinhematologicalmalignancies
AT theodorosmarinakis pharmaceuticalpreventionandmanagementofcardiotoxicityinhematologicalmalignancies
AT chrysostomipapachrysostomou pharmaceuticalpreventionandmanagementofcardiotoxicityinhematologicalmalignancies
AT panagiotismakaronis pharmaceuticalpreventionandmanagementofcardiotoxicityinhematologicalmalignancies
AT charikleiavlachou pharmaceuticalpreventionandmanagementofcardiotoxicityinhematologicalmalignancies
AT marinamantzourani pharmaceuticalpreventionandmanagementofcardiotoxicityinhematologicalmalignancies
AT dimitriosfarmakis pharmaceuticalpreventionandmanagementofcardiotoxicityinhematologicalmalignancies
AT konstantinoskonstantopoulos pharmaceuticalpreventionandmanagementofcardiotoxicityinhematologicalmalignancies